Founding Product Engineer

About the Role

We're a small, fast-moving healthtech startup building an AI-native operating system that empowers nurse practitioners to launch and run independent clinical practices. Our platform handles the full operational complexity of running a practice - so clinicians can focus entirely on patient care.

We're looking for a Founding Product Engineer to own and shape the clinician-facing product experience end-to-end. You'll work side-by-side with founders, a product designer, and clinicians to transform complex healthcare workflows into polished, reliable software that directly improves care delivery. This is a high-ownership, high-impact role at a very early stage - you'll help define how we build, not just what we build.

What You'll Do

• Own major clinician-facing workflows from whiteboard to production - including implementation, testing, rollout, and iteration.

• Collaborate with designers, founders, and clinicians to define product behavior; don't wait for finished specs.

• Drive frontend architecture and technical direction across provider and patient applications.

• Influence APIs, data models, and overall system behavior while primarily owning the frontend.

• Iterate rapidly from rough concepts to production-quality experiences alongside a product designer.

• Debug complex production issues spanning browsers, APIs, third-party integrations, and infrastructure.

• Contribute to engineering culture through thoughtful code reviews, technical discussions, and pragmatic decision-making.

• Leverage AI development tools as part of your workflow while maintaining full ownership of system design and production quality.

What We're Looking For

Required

• Demonstrated experience leading significant technical initiatives or owning major product areas end-to-end.

• Strong hands-on experience with React and Next.js (TypeScript experience assumed).

• Proven track record of owning user-facing features from concept through production.

• Comfort collaborating across the frontend/backend boundary - working with APIs and debugging backend behavior.

• Experience working directly with designers, customers, or domain experts to shape product direction.

• Strong product intuition, engineering judgment, and debugging skills.

• Experience delivering in a fast-moving, early-stage startup environment.

• Comfortable using AI-assisted development tools while maintaining responsibility for architecture and quality.

• Ability to commute to our Midtown Manhattan office 3 days per week.

Nice to Have

• Experience in healthcare software, FHIR, or other regulated software domains.

• Prior experience as an early or founding engineer at a startup.

• Experience building high-touch, workflow-critical products where usability matters as much as correctness.

• Experience evolving or maintaining a design system.

Please note: Visa sponsorship is not available for this role.

Compensation & Benefits

• Salary: $180,000 - $220,000 per year

• Early equity commensurate with a founding engineer role

• Opportunity to shape engineering culture and product direction from day one

Location

This is a hybrid role based in New York City, NY. You'll be expected in our Midtown Manhattan office at least 3 days per week.